Tier 1 & Tier 2 Scholarship Application

This application is for a Tier 1 Sport Australia Hall of Fame Scholarship. Any unsuccessful Tier 1 applicant will automatically be considered first for a Tier 2, then Tier 3 Scholarship. You do not need to complete another form.

This application must be completed by the athlete themselves. If a third party is required to complete the application, this must be acknowledged at the end of the form, noting who completed the form, and the reason for doing so.

If you wish to save the application and complete it later, please email a copy of the link to your preferred email address, noting:

Upon resuming the application, you will be taken back to the start of the form and there may be some fields blank
Please be understanding if this does occur, sometimes there are faults in technology and SAHOF will not be able to recover
You will still need to complete and submit the application prior to the due date

All applications must be submitted by 11:59pm on Sunday, June 30, 2024. Applications received after this time will not be considered.

The athlete themselves needs to complete and submit their own application.

Section 1

1. a) Scholarship Applicant Details

First Name *

Middle Name

Surname *

Date of Birth *

Age (as of December 31, 2024): *

Gender *

Email Address *

Mobile Number *

Place of Residence *

Domestic (Within Australia)International (Outside Australia)

Domestic Postal Address *

Street address *Street address line 2

City *

State *

Postcode *

International Postal Address *

Street address *Street address line 2

City *

State *

Postcode/Zipcode *

Country *

Country of Birth *

Australian Citizen *

1. b) Occupation

Full Time Athlete? *

If working: Organisation

Job Title

If studying: Grade/Degree:

School/Uni/Campus:

1.c) What is the Scholarship applicants career aspirations outside of sport? *300-word capacity

Page 1 of 7

Section 2

2. a) Scholarship Applicant Sport Details

Sport (if multiple, put preferred sport to be considered for) *

Discipline/s (eg: hurdles, backstroke, double trap, park, etc)

If a Para-Athlete, please state classification:

Associated Institute/Academy of Sport:

Is the applicant a member of the Australian junior or senior squad/team in their chosen sport? *

Is the applicant competing at International junior level or National senior level in their chosen sport? *

2. b) Current Rankings

International Senior Ranking:

International Junior Ranking:

National Senior Ranking:

National Junior Ranking:

2. c)

Please provide the Scholarship applicant’s major National and International sporting achievements below, beginning with the most recent. (Do not include State results)

International

1. Competition50-word capacity

1. Discipline

1. Year

1. Result

1. Award

2. Competition50-word capacity

2. Discipline

2. Year

2. Result

2. Award

3. Competition50-word capacity

3. Discipline

3. Year

3. Result

3. Award

4. Competition50-word capacity

4. Discipline

4. Year

4. Result

4. Award

5. Competition50-word capacity

5. Discipline

5. Year

5. Result

5. Award

National

1- Competition50-word capacity

1 - Discipline

1 - Year

1 - Result

1 - Award

2 - Competition50-word capacity

2 - Discipline

2 - Year

2 - Result

2- Award

3 - Competition50-word capacity

3 - Discipline

3 - Year

3 - Result

3 - Award

4 - Competition50-word capacity

4 - Discipline

4 - Year

4 - Result

4 - Award

5 - Competition50-word capacity

5 - Discipline

5 - Year

5 - Result

5 - Award

2. d) What are the Scholarship applicant’s short and long-term goals in their chosen sport? *300-word capacity

2. e) Is the Scholarship applicant expected to relocate outside of Australia to train/compete in their chosen sport in the next 18 months? *

Please list country/ies:

Please list date/s:

Page 2 of 7

Section 3

3. a) Mentor

Outline ways in which having one-on-one mentoring from an inducted Member of the Sport Australia Hall of Fame would benefit the Scholarship applicant in their sporting career and life outside of sport: *300-word capacity

3. b) What are three things the applicant wants to learn from a Mentor?

1 - *200-word capacity

2 - *200-word capacity

3 - *200-word capacity

3. c)

List three living Sport Australia Hall of Fame Members from outside the Scholarship applicant’s sport, that they would choose as a Mentor

View athletes in the Sport Australia Hall of Fame

1) *50-word capacity

2) *50-word capacity

3) *50-word capacity

Page 3 of 7

Section 4

4. a) Marketing/Social Media

Please submit a 45-60 second video featuring the Scholarship applicant and providing information about them, why they love their sport and how the Scholarship Program and having a Mentor will benefit the Scholarship applicant.

Please note - this video can be recorded by the applicant using their phone. It is simply for the Selection Committee to be able to put a face to a name and get to know you a little better. The video is an essential part of the application process and applications submitted without a video will not be considered.

Please upload the video to YouTube, Vimeo, Dropbox etc. and provide a link in the field below. Please ensure the video is not password protected or private.

Video link provided *

Link

4. b) Please provide links and total likes/followers to date of the Scholarship applicant’s social media platforms and other web-based media in which they use to promote themselves:

Facebook Link

Facebook Likes:

Instagram Link:

Instagram Followers

Twitter Link

Twitter Followers

TikTok Link

TikTok Followers

TikTok Likes

Website URL

Page 4 of 7

Section 5

Financials

Please note: funds can be spent on sport related travel, medical (out of pocket of health insurance, etc.), sport-specific clothing and equipment, gym fees, coaching fees, competition fees, sport registration fees, and educational expenses will be considered. Full terms and conditions will be supplied upon successful application.

5. a) INCOME

Please provide an approximate overall expected income for the Scholarship applicant for 2025: *

Please provide a detailed breakdown of the Scholarship applicant’s expected income including salary/wages, sponsorship, DAIS, NSO etc. for 2025.

1. Item/Organisation

1. Amount (inc. GST): AU$:

1. In-Kind: 50-word capacity

2. Item/Organisation

2. Amount (inc. GST): AU$:

2. In-Kind: 50-word capacity

3. Item/Organisation

3. Amount (inc. GST): AU$:

3. In-Kind: 50-word capacity

4. Item/Organisation

4. Amount (inc. GST): AU$:

4. In-Kind: 50-word capacity

5. Item/Organisation

5. Amount (inc. GST): AU$:

5. In-Kind: 50-word capacity

6. Item/Organisation

6. Amount (inc. GST): AU$:

6. In-Kind: 50-word capacity

7. Item/Organisation

7. Amount (inc. GST): AU$:

7. In-Kind: 50-word capacity

8. Item/Organisation

8. Amount (inc. GST): AU$:

8. In-Kind: 50-word capacity

9. Item/Organisation

9. Amount (inc. GST): AU$:

9. In-Kind: 50-word capacity

10. Item/Organisation

10. Amount (inc. GST): AU$:

10. In-Kind: 50-word capacity

5. b) EXPENSES

Please provide an approximate value of sporting expenses for the Scholarship applicant for 2025. Note: Normal living expenses do not apply: *

Please provide a detailed breakdown on how the Scholarship applicant will spend the $10,000 or $5,000 sporting grant:

1 - Item/Organisation

1 - Amount (inc. GST): AU$:

1 - Date expected to spend:

2 - Item/Organisation

2 - Amount (inc. GST): AU$:

2 - Date expected to spend:

3 - Item/Organisation

3 - Amount (inc. GST): AU$:

3 - Date expected to spend:

4 - Item/Organisation

4 - Amount (inc. GST): AU$:

4 - Date expected to spend:

5 - Item/Organisation

5 - Amount (inc. GST): AU$:

5 - Date expected to spend:

6 - Item/Organisation

6 - Amount (inc. GST): AU$:

6 - Date expected to spend:

7 - Item/Organisation

7 - Amount (inc. GST): AU$:

7 - Date expected to spend:

8 - Item/Organisation

8 - Amount (inc. GST): AU$:

8 - Date expected to spend:

9 - Item/Organisation

9 - Amount (inc. GST): AU$:

9 - Date expected to spend:

10 - Item/Organisation

10 - Amount (inc. GST): AU$:

10 - Date expected to spend:

Page 5 of 7

Section 6

6. a) Other

Please outline why the Scholarship applicant should receive this Scholarship and what they hope to get out of the Program? *500-word capacity

6. b) Referees

Referee 1: Relevant Sporting Organisation (eg: Athletics Australia, Skate Australia etc)

1. Name *

1. Role *

1. Email *

1. Mobile *

Referee 2: Coach (National or Personal)

2. Name *

2. Role *

2. Email *

2. Mobile *

Referee 3: Manager or Personal Professional Referee

3, Name *

3. Role *

3. Email *

3. Mobile *

6. c) How did the Scholarship applicant find out about the Sport Australia Hall of Fame Scholarship & Mentoring Program? *

If other, please specify

Page 6 of 7

Section 7 - Final Section

Terms and Conditions, Assessment Criteria, Declaration

7.a) Terms and Conditions

Please read the following terms and conditions carefully:

To be eligible for consideration for acceptance into the SAHOF Scholarship & Mentoring Program the following conditions must be met:

Nominations are open to all sportspersons who meet the following criteria:

Be an Australian Citizen (residents cannot apply)
Be between the ages of 15 – 21 as of December 31 of the year applying
Be a participant in a sport recognised by either Sport Australia, the Australian Olympic Committee (AOC) and/or Paralymoics Australia
Have competed at International junior level or National senior level in their chosen sport (where applicable)
Be a member of the Australian junior or senior squad/team in their chosen sport (where applicable)
Applicants who apply for both Tier 1 and Tier 2 will be considered for Tier 1 first, Tier 2 if unsuccessful in Tier 1, then automatically considered for Tier 3 should they be unsuccessful for Tier and Tier 2.
The applicant must complete the form themselves. No third party can apply on the applicant’s behalf (if the applicant is overseas or unavailable, a third party can apply on their behalf and must provide reason).

Previous Scholarship Holders are encouraged to re-apply providing they meet the Program Eligibility Criteria.

Scholarship and Mentoring Program Selection Policy available here.

7.b)

Assessment

A Scholarship applicant acknowledges and agrees to the following:

The application is not a guarantee, acceptance or approval of being awarded a Scholarship.
Each application will be considered in the context of its alignment with the evidence of need and clarity of how the funds will be used, use of Mentor (if applicable) along with a non-biased, fair and consistent selection process which considers all sports (Olympic/non-Olympic, Paralympic/non-Paralympic, professional), genders, rankings, etc.
A successful applicant will be notified via email or phone along with instructions for acceptance.
A successful applicant must accept, in writing, all terms and conditions including signing the Scholarship Agreement before being eligible to receive Scholarship funds and all other associated benefits.

7.c) Declaration

I declare that the information I have provided above in this application is accurate and true. I understand that if the information provided is found to be false, this application will be void and immediately considered as unsuccessful. I confirm that I have read, understand and comply with all of the above terms and conditions.

Scholarship Applicant’s Full Name: *

Scholarship Applicant’s Signature: *

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NOTE: Where the applicant is under 18 years of age this form must also be signed by the applicant’s parent or legal guardian.

I am the parent or guardian of the applicant. I authorise and consent to the applicant submitting this application. In consideration of the applicant being successful I expressly agree to be responsible for the applicant’s behaviour and agree to personally accept in my capacity as parent or guardian the terms set out in this application and declaration including the provision by me of a release and indemnity in the terms set out above.

Parent/Guardian Full Name:

Parent/Guardian Signature:

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If a third party has completed this application due to the applicant being overseas or physically cannot complete this application form themselves, please provide details and signature to acknowledge the accuracy of the information.

Third Party Full Name:

Relationship to Applicant:

Third Party Email:

Third Party Phone:

Reason for completing on Applicants behalf:

Third Party Signature:

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